Parenting Clinical Trial
Official title:
Web-based Parenting Intervention for Mothers of Infants At-Risk for Maltreatment
This innovative interactive Internet-based parent education intervention will help serve to promote the social emotional development and communication skills of infants to decrease the chances of child maltreatment in low-income, culturally diverse, families.
Parents of infants living in poverty are at significantly elevated risk of a host of
detrimental outcomes, including the development of child behavior problems, neglect and
abuse of children, child learning problems and parental substance abuse. Research has found
that early interventions to improve parenting practices were effective to ameliorate these
outcomes. Yet, there exist major obstacles to the effective delivery of mental health
services, particularly in rural areas. The need of rural families for mental health services
is reaching crisis proportions due to the dearth of trained professionals. In addition, the
meteoric rise of Internet use has created a new avenue for people to communicate and share
ideas. These two trends are helping fuel the demand for mental health services and on-line
support.
Internet programs can be interactive and provide social support from peers and
professionals. Through the use of recent advances in multimedia technology and software as
well as the rise of computer networking via the Internet, there now exists an opportunity to
provide such monitoring of outcomes and remote contact for rural locations. Prior
developmental R34 research ("Infant Net") successfully adapted and pilot tested an existing
empirically proven parenting program, for delivery via the Internet, enhanced with weekly
professional contact. This research provided 40 mothers of infants 3.5 to 7 months (at
enrollment) with a computer, computer camera, Internet connection, and technical
training/support for 6 months to evaluate the digital translation. Mother-infant dyads were
randomized to Experimental or Computer/Control conditions. Results found significant change
with infant-behavioral and positive trends were demonstrated in parenting behaviors. Mothers
rated the both computer program and interaction with coaches to be very high. These
encouraging developmental research results provide a very good empirical base for a fully
powered randomized control trial to test effectiveness.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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